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Individual

MR. DALE LAWRENCE CHATHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
KINESIOTHERAPIST

Contact information

Practice address
1601 PERDIDO ST, NEW ORLEANS, LA 70112-1262
(504) 568-0811
Mailing address
67 SHADY LANE DR, SLIDELL, LA 70461-1539
(985) 643-5837

Taxonomy

Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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